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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit aay be subject to 'deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner an~ contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worK. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />~ E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />I applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do worK and installation as indicated. I certify that no worK or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t De artlent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volume' Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every permit issued shall becole invalid
<br />unless the work authorized by such perlit is cO.lenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is com.enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~E'T. JO'S ~~BO NOT 'EE' TO 'ECO" A" P'ST A '.OTICE OF C...E'CE' T'.
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<br />
<br />SI6NATU~R OR AGENT
<br />
<br />
<br />STATE OF FLORIDA /J " ...\
<br />COUNTY OF r-~L(J
<br />The foregoing in~trument
<br />before me th i sir... OJ.;;:L
<br />I
<br />
<br />was acknowledged
<br />, 19.2l.. by
<br />
<br />STATE OF FLORI~
<br />COUNTY OF r85_~ _
<br />. The foregoing instrument was acknowledged
<br />befe,,-e me th i s N<;;)". d~ 19 ~ by
<br />
<br />who i~~~~~\~Y Z::n~:::~or whc. has
<br />
<br />produced
<br />as identifi and who
<br />take an oa
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<br />
<br />'~
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<br />I\...
<br />
<br />(Signature) \
<br />~u.d\~ h.~c..~r
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC ~ ~ {" (977
<br />
<br />
<br />rSC!.f'al1 y Imow~ to me or \<lho has
<br />produced ~~l ~
<br />as identification and whO'did/did nett
<br />t~a,thuvl TrI. .~
<br />
<br />~v .
<br />LOR, ""be.t1I Yr/, f.....rJ Sf f. f (
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
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<br />JUOIfH t. II!CHAPEQ
<br />NoIay PutlIir. .t '''',ndQ
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